Organization
AUDIO EAR HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAREL E ROBERTS (HEARING INSTRUMENT SPECIALIST)
(573) 334-7700
Entity
Organization
Contact information
Practice address
65 S PLAZA WAY, CAPE GIRARDEAU, MO 63703-5808
(573) 334-7700
(573) 334-7700
Mailing address
65 S PLAZA WAY, CAPE GIRARDEAU, MO 63703-5808
(573) 334-7700
(573) 334-7700
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
000748
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124318258
TYPE 1-INDIVIDUAL NPI
MO
05
—
1124318258
—
MO
Enumeration date
11/29/2011
Last updated
11/29/2011
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